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O objetivo deste trabalho foi apresentar a proposta metodológica denominada de “Pronta Resposta” modelada nas cidades de Belo Horizonte (Minas Gerais) e Natal (Rio Grande do Norte), Brasil. A metodologia visa identificar e delimitar áreas prioritárias para o direcionamento das ações de vigilância em tempo oportuno, buscando a redução da intensidade e velocidade da dispersão de epidemias em áreas urbanas endêmicas. Para tanto, a metodologia utiliza três variáveis, que representam as causas necessárias para a produção e reprodução da dengue: casos notificados (vírus), ovos de Aedes (vetor) e população (hospedeiro). Trata-se de um estudo ecológico que utilizou os dados dos três planos de informações agregados em escalas temporais e espaciais mais finas, de três a quatro semanas e grades de 400 a 600 metros respectivamente. As áreas de pronta resposta foram definidas por meio de análise estatística de varredura Scan, com definição de clusters espaciais simultâneos para os três planos por meio do programa SaTScan. Os resultados observados foram: na cidade de Natal, as áreas definidas como pronta resposta ocuparam em média 15,2% do território do município e concentraram 67,77% dos casos de dengue do período posterior ao utilizado na delimitação das áreas de pronta resposta, e em Belo Horizonte, os números observados foram de 64,16% dos casos em 23,23% do território. Esses resultados foram obtidos em duas cidades com realidades socioambientais e geográficas diferentes e com perfis epidemiológicos também distintos, apontando que a metodologia pode ser aplicada em diferentes realidades urbanas, criando a possibilidade de os programas de controle atuarem em porções reduzidas do território e impactar num alto percentual de casos em tempo oportuno. The study aimed to present the methodological proposal entitled “Prompt Response”, modelled in the cities of Belo Horizonte (Minas Gerais State) and Natal (Rio Grande do Norte State), Brazil. The proposal aims to identify and demarcate priority areas for timely targeting of surveillance activities, aiming to reduce the intensity and velocity in the spread of epidemics in endemic urban areas. The methodology uses three variables that represent the necessary causes for the production and reproduction of dengue: notified cases (virus), Aedes eggs (vector), and population (host). This was an ecological study that used data from three information planes aggregated in finer temporal and spatial scales of 3 to 4 weeks and 400 to 600-meter grids, respectively. The prompt response areas were defined by Scan statistical analysis with definition of simultaneous spatial clusters for the three planes via the SaTScan program. In Natal, the areas defined as prompt response occupied, on average, 15.2% of the city’s territory and concentrated 67.77% of the dengue cases in the period following demarcation of the prompt response areas. In Belo Horizonte, the observed proportions were 64.16% of cases in 23.23% of the territory. These results were obtained in two cities with different socioenvironmental and geographic realities and distinct epidemiological profiles, indicating that the methodology can be applied to different urban realities, allowing control programs to concentrate on reduced portions of the territory and impacting a high percentage of cases in timely fashion. El objetivo del trabajo fue presentar la propuesta metodológica, denominada de “Resposta Rápida”, modelada en las ciudades de Belo Horizonte (Minas Gerais) y Natal (Rio Grande do Norte), Brasil. Esta última tiene como meta identificar y delimitar áreas prioritarias para la ejecución de acciones de vigilancia en el momento oportuno, buscando la reducción de la intensidad y velocidad de la dispersión de epidemias en áreas urbanas endémicas. Para tal fin, la metodología utiliza tres variables, que representan las causas necesarias para la producción y reproducción del dengue: casos notificados (virus), huevos de Aedes (vector) y población (huésped). Se trata de un estudio ecológico que utilizó los datos de los tres planos de información agregados en escalas temporales y espaciales más finas, de 3 a 4 semanas y tablas de 400 a 600 metros respectivamente. Las áreas de respuesta rápida se definieron a través del análisis estadístico de exploración Scan, con definición de clústeres espaciales simultáneos para los tres planos mediante el programa SaTScan. Los resultados observados fueron: en la ciudad de Natal, las áreas definidas como de respuesta rápida ocuparon de media un 15,2% del territorio del municipio y concentraron un 67,77% de los casos de dengue del período posterior al utilizado en la delimitación de las áreas de respuesta rápida y, en Belo Horizonte, los números observados fueron un 64,16% de los casos en un 23,23% del territorio. Estos resultados se obtuvieron en dos ciudades con realidades socioambientales y geográficas diferentes y con perfiles epidemiológicos también distintos, apuntando que la metodología se puede aplicar en diferentes realidades urbanas. Dando la posibilidad de que los programas de control actúen en secciones reducidas del territorio e impactar en un alto porcentaje de casos en el momento oportuno.

Bimonthly diurnal and nocturnal captures were conducted in four different sampling sites of the Mato Grosso Pantanal region over 24 consecutive months between March 2009 and January 2011. The goal of performing these collections was to elucidate aspects of the biology and ecology of mosquitoes in this region since little to nothing is known about these aspects for many species. A total of 17,532 specimens were captured, comprising two subfamilies, nine genera, and 44 species. The main species of culicids found in the Mato Grosso Pantanal had strong ecological compatibility with well-preserved environments and with some of the specific habitats found in at least one of the four selected collection sampling sites. Anopheles darlingi, An. albitarsis, and An. triannulatus are well-suited to environments with large water bodies and greater anthropic activity. Culex nigripalpus and Cx. quinquefasciatus prefer environments with bush fragments and pronounced human action and movement. Culex declarator and Psorophora albigenu, the most eclectic, prefer wild areas and with some anthropic activity. Mansonia titillans is associated with environments offering a wide variety of natural breeding areas that enable its development, in particular natural swamp areas covered with macrophytes, which is one of the natural components of the Pantanal biome. The effect of the flooding season on the population density of anophelines is especially advantageous, with an explosion in the number of individuals in periods of widespread flooding. The region’s environmental dynamics are regulated by flooding cycles with alternating periods of flooding and drought, which are the main factors governing the ecology of the local fauna and flora. Flooding periods contribute to raising culicid species’ richness and diversity, while the droughts result in a more even distribution of specimens within species. The flooding season of the Pantanal occurs between November and May and coincides with the greatest abundance of culicid species. During this period, the human population of the region has greater contact with mosquito vectors carrying pathogens, including arboviruses, which previous studies have confirmed via seropositivity in the region’s equines and birds.

As abordagens ecossistêmicas surgem como enfoques alternativos que integram múltiplos aspectos para a compreensão e busca de soluções de problemas de saúde oriundos de precárias condições sociossanitárias. A vulnerabilidade para a leptospirose é marcada por áreas onde há propensão a ocorrer desastres naturais de alagamento associados a precárias condições sociossanitárias. O presente artigo traz a identificação de áreas de risco para leptospirose no município de Itaboraí considerando características ambientais e sociossanitárias relacionadas a produção da doença. A análise espacial foi realizada por meio de sobreposição dos temas de interesse: áreas de maior risco de inundação (28% do território), áreas críticas (0,9% do território e 9,3% da população do município) e casos notificados de leptospirose, através da análise visual. Dos 89 casos de leptospirose notificados, 71% foram localizados dentro das áreas de influência de inundação e 34% em localidades com precárias condições sociossanitárias. Os resultados alcançados com a integração das informações socioambientais do território e análise da distribuição espacial da leptospirose demonstra a ocorrência injusta, desproporcional e evitável de leptospirose naquelas localidades, ressaltando uma situação de iniquidade social em saúde na qual populações com menores condições econômicas são impelidas a ocupar porções do território ambientalmente degradadas e com menor disponibilidade de serviços. Essa se mostra uma promissora abordagem para a área da vigilância.

The present study evaluated the diversity of Anopheles Meigen, 1818 belonging to the subgenus Nyssorhynchus Blanchard, 1902 in four areas of Cachoeiras de Macacu municipality, Rio de Janeiro, Brazil. The immature collections were carried out during a rainy period and a post-rainy season. During the two periods, 3,932 specimens of Anopheles (Nyssorhynchus) were collected: 562 in the rainy period (14.29%) and 3,370 in the post-rainy period (85.70%). Among 3,932 specimens collected during both periods, 489 were identified, 50 (8.89%) in the rainy period and 439 (13.02%) in the post-rainy period. Nine Anopheles species were recorded: Anopheles albitarsis Lynch Arribalzaga, 1878 s.l. (76.86%), An. braziliensis (Chagas, 1907) (17%); An. evansae (Brethes, 1926) (8, 48%); An. triannulatus (Neiva & Pinto, 1922) s.l. (8.23%); An. oswaldoi (Peryassu, 1922) (6.43%); An. strodei Root, 1926 (5.40%); An. argyritarsis Robineau-Desvoidy, 1827 (1.54%); An. rangeli Gabaldon et al., 1940 (1.28%); and An. aquasalis Curry, 1932 (0.51%). Among them, An. albitarsis was dominant and abundant in 93.75% of the collection points. Our results show a diverse Anopheles fauna in the municipality of Cachoeiras de Macacu, with a strong association of occurrence between An. rangeli and An. oswaldoi; An. rangeli and An. evansae; An. evansae and An. oswaldoi; and An. albitarsis s.l. and An. braziliensis during the rainy period. However, there was a weak correlation in the post-rainy period, except between An. rangeli and An. oswaldoi and between An. triannulatus and An. aquasalis, which displayed a moderate linear correlation. Our results suggest that following a potential reintroduction of malaria Cachoeiras de Macacu, local transmission of Plasmodium Marchiafava & Celli, 1885 may be enhanced by the presence of nine Nyssorhynchus species (all potential malaria vectors).

The study aimed to present the methodological proposal entitled "Prompt Response", modelled in the cities of Belo Horizonte (Minas Gerais State) and Natal (Rio Grande do Norte State), Brazil. The proposal aims to identify and demarcate priority areas for timely targeting of surveillance activities, aiming to reduce the intensity and velocity in the spread of epidemics in endemic urban areas. The methodology uses three variables that represent the necessary causes for the production and reproduction of dengue: notified cases (virus), Aedes eggs (vector), and population (host). This was an ecological study that used data from three information planes aggregated in finer temporal and spatial scales of 3 to 4 weeks and 400 to 600-meter grids, respectively. The prompt response areas were defined by Scan statistical analysis with definition of simultaneous spatial clusters for the three planes via the SaTScan program. In Natal, the areas defined as prompt response occupied, on average, 15.2% of the city's territory and concentrated 67.77% of the dengue cases in the period following demarcation of the prompt response areas. In Belo Horizonte, the observed proportions were 64.16% of cases in 23.23% of the territory. These results were obtained in two cities with different socioenvironmental and geographic realities and distinct epidemiological profiles, indicating that the methodology can be applied to different urban realities, allowing control programs to concentrate on reduced portions of the territory and impacting a high percentage of cases in timely fashion.O objetivo deste trabalho foi apresentar a proposta metodológica denominada de “Pronta Resposta” modelada nas cidades de Belo Horizonte (Minas Gerais) e Natal (Rio Grande do Norte), Brasil. A metodologia visa identificar e delimitar áreas prioritárias para o direcionamento das ações de vigilância em tempo oportuno, buscando a redução da intensidade e velocidade da dispersão de epidemias em áreas urbanas endêmicas. Para tanto, a metodologia utiliza três variáveis, que representam as causas necessárias para a produção e reprodução da dengue: casos notificados (vírus), ovos de Aedes (vetor) e população (hospedeiro). Trata-se de um estudo ecológico que utilizou os dados dos três planos de informações agregados em escalas temporais e espaciais mais finas, de três a quatro semanas e grades de 400 a 600 metros respectivamente. As áreas de pronta resposta foram definidas por meio de análise estatística de varredura Scan, com definição de clusters espaciais simultâneos para os três planos por meio do programa SaTScan. Os resultados observados foram: na cidade de Natal, as áreas definidas como pronta resposta ocuparam em média 15,2% do território do município e concentraram 67,77% dos casos de dengue do período posterior ao utilizado na delimitação das áreas de pronta resposta, e em Belo Horizonte, os números observados foram de 64,16% dos casos em 23,23% do território. Esses resultados foram obtidos em duas cidades com realidades socioambientais e geográficas diferentes e com perfis epidemiológicos também distintos, apontando que a metodologia pode ser aplicada em diferentes realidades urbanas, criando a possibilidade de os programas de controle atuarem em porções reduzidas do território e impactar num alto percentual de casos em tempo oportuno.El objetivo del trabajo fue presentar la propuesta metodológica, denominada de “Resposta Rápida”, modelada en las ciudades de Belo Horizonte (Minas Gerais) y Natal (Rio Grande do Norte), Brasil. Esta última tiene como meta identificar y delimitar áreas prioritarias para la ejecución de acciones de vigilancia en el momento oportuno, buscando la reducción de la intensidad y velocidad de la dispersión de epidemias en áreas urbanas endémicas. Para tal fin, la metodología utiliza tres variables, que representan las causas necesarias para la producción y reproducción del dengue: casos notificados (virus), huevos de Aedes (vector) y población (huésped). Se trata de un estudio ecológico que utilizó los datos de los tres planos de información agregados en escalas temporales y espaciales más finas, de 3 a 4 semanas y tablas de 400 a 600 metros respectivamente. Las áreas de respuesta rápida se definieron a través del análisis estadístico de exploración Scan, con definición de clústeres espaciales simultáneos para los tres planos mediante el programa SaTScan. Los resultados observados fueron: en la ciudad de Natal, las áreas definidas como de respuesta rápida ocuparon de media un 15,2% del territorio del municipio y concentraron un 67,77% de los casos de dengue del período posterior al utilizado en la delimitación de las áreas de respuesta rápida y, en Belo Horizonte, los números observados fueron un 64,16% de los casos en un 23,23% del territorio. Estos resultados se obtuvieron en dos ciudades con realidades socioambientales y geográficas diferentes y con perfiles epidemiológicos también distintos, apuntando que la metodología se puede aplicar en diferentes realidades urbanas. Dando la posibilidad de que los programas de control actúen en secciones reducidas del territorio e impactar en un alto porcentaje de casos en el momento oportuno.

Background Haiti is one of the Caribbean countries where malaria still persists. Malaria occurs throughout the country at altitudes below 600 meters. More than 99% of the malaria cases are caused by Plasmodium falciparum and the main vector is Anopheles albimanus. This paper aims to describe the epidemiological profile of malaria in Haiti between 2009 and 2018. Methods We analyzed information on malaria cases reported by both the Health Ministry of Haiti (Ministère de la Santé Publique et de la Population-MSPP) and the World Health Organization (WHO) during the study period. Results Between 2009 and 2018, a total of 232,479 malaria cases were reported by the MSPP. There was an increase in the incidence of malaria in the country in 2010 followed by a decrease in 2011. Due to efforts made by Haiti over the past decade to reduce malaria by 2020, malaria incidence has declined from 60,130 cases in 2010 to 8,978 cases in 2018. We verified that the MSPP and the WHO data are conflicting in relation to the number of cases reported. However, the results from both data sets presented the same malaria trend in Haiti from 2009 to 2018. The results also show the endemicity of the disease throughout Haiti, both in rural and urban areas, especially along the coast. Conclusion This work emphasizes the need to promote official data collection and analyses and the application of epidemiological surveillance of malaria for a better knowledge about the real impact of malaria on the Haitian population aiming more appropriate interventions.

To present the urban arboviruses (dengue, zika and chikungunya) stratification methodology by the territorial receptivity Index, an instrument for the surveillance and control of these diseases, which considers the heterogeneity of an intra-municipal territory.Ecological study that uses as unit of analysis the areas covered by health centers in Belo Horizonte. For the development of a territorial receptivity index, indicators of socio-environmental determination of urban arboviruses were selected in order to integrate the analysis of main components. The resulting components were weighted by the analytic hierarchy process and combined via map algebra.The territorial receptivity index showed great heterogeneity of urban infrastructure conditions. The areas classified with high and very high receptivity correspond to approximately 33% of the occupied area and are mainly concentrated in the administrative planning regions of East, Northeast, North, West, and Barreiro, especially in areas surrounding the municipality. When the density of dengue cases and Aedes eggs, from 2016, were superimposed with the stratification by the index of territorial receptivity to urban arboviruses, areas of very high receptivity had a high density of cases and Aedes eggs - higher than that observed in other areas of the city, which corresponds to a very small percentage of the municipal territory (13.5%).The analyses indicate the need for the development of adequate surveillance and control actions for each context, overcoming the logic of homogeneous allocation throughout the territory.

The golden hamster is a suitable model for studying cutaneous leishmaniasis (CL) due to Leishmania (Viannia) braziliensis. Immunopathological mechanismsare wellstablished inthe L. (L.) major-mouse model, in which IL-4 instructs a Th2 response towards progressive infection. In the present study, we evaluatedthe natural history of L. braziliensis infection from its first stagesup to lesion establishment, with the aim ofidentifyingimmunological parameters associated with the disease outcome and parasitismfate. To this end, hamsters infected with 104, 105,or 106 promastigoteswere monitored duringthe first hours (4h, 24h), early (15, 30 days) and late (50 days) post-infection (pi) phases. Cytokines, iNOS and arginasegene expression were quantified in the established lesions by RT-PCR. Compared to the 105 or 106 groups, 104animals presented lower lesions sizes, less tissue damage,and lower IgG levels. Basal gene expression in normal skin was high for TGF-β, and intermediary for TNF, IL-6, and IL-4.At 4hpi, no cytokine induction was observed in the 104 group, while an upregulation of IL-6, IL-10, and IL-4 was observed in the 106 group. At 15dpi, lesion appearance was accompanied byan increasedexpression of all assessed cytokines, markedly in the 105 and 106 groups. Upregulation of all investigated cytokines was observed in the late phase, although less expressive in the 104 group. IFN-γ was the depending variable influencing tissue damage, while IL-6 was associatedto parasite load. The network correlating gene expression and clinical and laboratorial parameters indicated inoculum-independent associations at 15 and 30dpi.A strong positive network correlation was observed in the 104 group, but not in the105 or 106 groups. In conclusion, IL-4, IL-6, IL-10, and TGF-β are linkedto L. braziliensisprogression. However, a balanced cytokine network is the key for an immune response able to reduce the ongoing infection and reduce pathological damage.

Objetivo: caracterizar o processo de difusão espacial da Covid-19 pelos municípios do Estado do Rio de Janeiro. Método: Para análise da difusão espacial dos primeiros casos confirmados de Covid-19 segundo municípios do estado foi utilizada a metodologia de interpolação pelo IDW. Resultados: Foram identificados três eixos principais de difusão no Estado do Rio de Janeiro, todos partindo da Região metropolitana. O primeiro eixo segue em direção a São Paulo pela via Dutra promovendo a difusão pelo Vale do Paraíba. O segundo eixo segue em direção ao Espírito Santo pela BR-101. O terceiro eixo segue em direção a região da cidade de Juiz de Fora em Minas Gerais pela BR-040.Conclusão: A caracterização da difusão da Covid-19 no estado do Rio de Janeiro demostrou seu processo de espalhamento tanto por saltos (seguindo a hierarquia urbana) quanto por contágio uma vez instalada nos novos centros de difusão. A interiorização da difusão impõe a urgente tomada de ações articuladas e solidárias considerando que as políticas de saúde para contenção da Covid-19 se baseiam majoritariamente em medidas não farmacológicas e que a capacidade médico-hospitalar dos municípios de médio e pequeno porte que se encontram nessa rota de difusão é limitada.

Given the characteristics of the COVID-19 pandemic and the limited tools for orienting interventions in surveillance, control, and clinical care, the current article aims to identify areas with greater vulnerability to severe cases of the disease in Rio de Janeiro, Brazil, a city characterized by huge social and spatial heterogeneity. In order to identify these areas, the authors prepared an index of vulnerability to severe cases of COVID-19 based on the construction, weighting, and integration of three levels of information: mean number of residents per household and density of persons 60 years or older (both per census tract) and neighborhood tuberculosis incidence rate in the year 2018. The data on residents per household and density of persons 60 years or older were obtained from the 2010 Population Census, and data on tuberculosis incidence were taken from the Brazilian Information System for Notificable Diseases (SINAN). Weighting of the indicators comprising the index used analytic hierarchy process (AHP), and the levels of information were integrated via weighted linear combination with map algebra. Spatialization of the index of vulnerability to severe COVID-19 in the city of Rio de Janeiro reveals the existence of more vulnerable areas in different parts of the city's territory, reflecting its urban complexity. The areas with greatest vulnerability are located in the North and West Zones of the city and in poor neighborhoods nested within upper-income parts of the South and West Zones. Understanding these conditions of vulnerability can facilitate the development of strategies to monitor the evolution of COVID-19 and orient measures for prevention and health promotion.

Diante da pandemia de COVID-19 e da escassez de ferramentas para orientar as ações de vigilância, controle e assistência de pessoas infectadas, o presente artigo tem por objetivo evidenciar áreas de maior vulnerabilidade aos casos graves da doença na cidade do Rio de Janeiro, Brasil, caracterizada por grande heterogeneidade socioespacial. Para o estabelecimento dessas áreas foi elaborado um índice de vulnerabilidade aos casos graves de COVID-19 com base na construção, ponderação e integração de três planos de informação: a densidade intradomiciliar média, a densidade de pessoas com 60 anos ou mais (ambas por setor censitário) e a incidência de tuberculose por bairros no ano de 2018. Os dados referentes à densidade intradomiciliar e de pessoas com 60 anos ou mais provêm do Censo Demográfico de 2010 e os de incidência de tuberculose do Sistema de Informação de Agravos de Notificação (SINAN). A ponderação dos indicadores que compuseram o índice foi realizada por meio da Análise Hierárquica de Processos (AHP), e os planos de informação foram integrados pela Combinação Linear Ponderada por álgebra de mapas. A espacialização do índice de vulnerabilidade aos casos graves na cidade do Rio de Janeiro evidencia a existência de áreas mais vulneráveis em diferentes porções do território, refletindo a sua complexidade urbana. Contudo, é possível observar que as áreas de maior vulnerabilidade estão nas regiões Norte e Oeste da cidade e em comunidades carentes encrustadas nas áreas nobres como as zonas Sul e Oeste. A compreensão dessas condições de vulnerabilidade pode auxiliar no desenvolvimento de estratégias de monitoramento da evolução da doença, bem como para o direcionamento das ações de prevenção e promoção da saúde.

Members of the genera Haemagogus and Sabethes are the most important biological vectors of the wild yellow fever virus (WYF) in the forested areas of the Americas. The ecologies of Haemagogus janthinomys, Hg. leucocelaenus, Sabethes chloropterus, and Sa. glaucodaemon were studied in a forest of the Chapada dos Guimarães National Park, state of Mato Grosso, Brazil, to evaluate the influence of climatic factors (temperature and relative humidity [RH]) on their abundance. We also examined the association of climate with landscape structure on species distribution patterns throughout the seasons of the year. Multiple stepwise regressions showed that RH was most likely to influence the density of mosquito populations. A multidimensional scaling (MDS) was used to evaluate the effects of forest cover on the composition of mosquito populations at different radii (100-, 250-, and 1,000-m-radius buffer areas). The MDS provided 2 dimensions with values that indicated a higher similarity in the composition of culicid populations between sites 1 and 3, while site 2 was separate from the others in the ordination space. Site 2 had a much higher forest cover ratio at 100-m radius compared with sites 1 and 3. We found a possible relationship between the forest cover and the composition of the mosquito populations only in the 100-m radius. These results enabled us to infer that RH directly favored the activity of mosquito populations and that the forest cover located closest to the sampling site may influence the species composition. Since mosquito abundance was higher in the sites with lower local forest cover, forest fragmentation may be a key factor on the presence of WYF vector.

Members of the genera

Imported malaria is a malaria infection diagnosed outside the area where it was acquired and is induced by human migration and mobility. This retrospective study was performed based on secondary data from 2007 to 2015. In total, 736 cases of imported malaria (79.7% of 923 cases) were recorded in Rio de Janeiro state. Of the imported cases, 55.3% came from abroad, while 44.7% came from other regions of Brazil. Most cases of imported malaria in Brazil (85.5%) originated in Amazonia Legal, and Burundi (Africa) accounted for 59% of the cases from abroad. Analyses of the determinants of imported malaria in Rio de Janeiro state must be continued to understand the relationship between the origin and destination of cases.

INTRODUCTION: Elimination of malaria in areas of interrupted transmission warrants careful case assessment to avoid the reintroduction of this disease. Occasional malaria cases are reported among visitors of the Atlantic Forest area of Brazil, while data on residents of this area are scarce. METHODS: A sectional study was carried out to examine 324 individuals living in a municipality where autochthonous cases were detected. RESULTS: Asymptomatic Plasmodium infections were detected in 2.8% of the individuals by polymerase chain reaction (PCR), with one case of P. falciparum (0.3%), two cases of P. vivax (0.6%), and six cases of P. malariae (1.9%). The thick blood smears were negative in all individuals. Serological tests performed in 314 subjects were reactive in 11.1%, with 3.5% for P. falciparum and 7.7% for P. vivax. A subsample of 42 reactive individuals for any Plasmodium species showed P. malariae in 30.9% of specimens. Individuals who entered the Atlantic Forest region were 2.7 times more likely to exhibit reactive serology for P. vivax compared with individuals who did not enter this region (p

Background Extra-Amazonian malaria mortality is 60 times higher than the Amazon malaria mortality. Imported cases correspond to approximately 90% of extra-Amazonian cases. Imported malaria could be a major problem if it occurs in areas with receptivity, because it can favor the occurrence of outbreaks or reintroductions of malaria in those areas. This study aimed to model territorial receptivity for malaria to serve as an entomological surveillance tool in the State of Rio de Janeiro, Brazil. Geomorphology, rainfall, temperature, and vegetation layers were used in the AHP process for the receptivity stratification of Rio de Janeiro State territory. Results The model predicted five receptivity classes: very low, low, medium, high and very high. The ‘very high’ class is the most important in the receptivity model, corresponding to areas with optimal environmental and climatological conditions to provide suitable larval habitats for Anopheles (Nyssorhynchus) vectors. This receptivity class covered 497.14 km2 or 1.18% of the state’s area. The ‘high’ class covered the largest area, 17,557.98 km2, or 41.62% of the area of Rio de Janeiro State. Conclusions We used freely available databases for modeling the distribution of receptive areas for malaria transmission in the State of Rio de Janeiro. This was a new and low-cost approach to support entomological surveillance efforts. Health workers in ‘very high’ and ‘high’ receptivity areas should be prepared to diagnose all febrile individuals and determine the cause of the fever, including malaria. Each malaria case must be treated and epidemiological studies must be conducted to prevent the reintroduction of the disease.

Summary Background Malaria was eliminated from southern and southeastern Brazil over 50 years ago. However, an increasing number of autochthonous episodes attributed to Plasmodium vivax have recently been reported from the Atlantic Forest region of Rio de Janeiro state. As the P vivax -like non-human primate malaria parasite species Plasmodium simium is locally enzootic, we performed a molecular epidemiological investigation to determine whether zoonotic malaria transmission is occurring. Methods We examined blood samples from patients presenting with signs or symptoms suggestive of malaria as well as from local howler monkeys by microscopy and PCR. Samples were included from individuals if they had a history of travel to or resided in areas within the Rio de Janeiro Atlantic Forest, but not if they had malaria prophylaxis, blood transfusion or tissue or organ transplantation, or had travelled to known malaria endemic areas in the preceding year. Additionally, we developed a molecular assay based on sequencing of the parasite mitochondrial genome to distinguish between P vivax and P simium , and applied this assay to 33 cases from outbreaks that occurred in 2015, and 2016. Findings A total of 49 autochthonous malaria cases were reported in 2015–16. Most patients were male, with a mean age of 44 years (SD 14·6), and 82% lived in urban areas of Rio de Janeiro state and had visited the Atlantic Forest for leisure or work-related activities. 33 cases were used for mitochondrial DNA sequencing. The assay was successfully performed for 28 samples, and all were shown to be P simium , indicative of zoonotic transmission of this species to human beings in this region. Sequencing of the whole mitochondrial genome of three of these cases showed that P simium is most closely related to P vivax parasites from South America. The malaria outbreaks in this region were caused by P simium , previously considered to be a monkey-specific malaria parasite, related to but distinct from P vivax , and which has never conclusively been shown to infect people before. Interpretation This unequivocal demonstration of zoonotic transmission, 50 years after the only previous report of P simium in people, leads to the possibility that this parasite has always infected people in this region, but that it has been consistently misdiagnosed as P vivax because of an absence of molecular typing techniques. Thorough screening of local non-human primates and mosquitoes ( Anopheline ) is required to evaluate the extent of this newly recognised zoonotic threat to public health and malaria elimination in Brazil. Funding Fundacao Carlos Chagas Filho de Amparo a Pesquisa do Estado de Rio de Janeiro, The Brazilian National Council for Scientific and Technological Development (CNPq), JSPS Grant-in-Aid for scientific research, Secretary for Health Surveillance of the Brazilian Ministry of Health, Global Fund, Fundacao de amparo a pesquisa do estado de Minas Gerais (Fapemig), and PRONEX Program of the CNPq.

SummaryBackgroundMalaria was eliminated from Southern and Southeastern Brazil over 50 years ago. However, an increasing number of autochthonous episodes attributed toPlasmodium vivaxhave been recently reported in the Atlantic forest region of Rio de Janeiro State.As P. vivax-like non-human primate malaria parasite speciesPlasmodium simiumis locally enzootic, we performed a molecular epidemiological investigation in order to determine whether zoonotic malaria transmission is occurring.MethodsBlood samples of humans presenting signs and/or symptoms suggestive of malaria as well as from local howler-monkeys were examined by microscopy and PCR. Additionally, a molecular assay based on sequencing of the parasite mitochondrial genome was developed to distinguish betweenP. vivaxandP. simium, and applied to 33 cases from outbreaks occurred in 2015 and 2016.ResultsOf 28 samples for which the assay was successfully performed, all were shown to beP. simium, indicating the zoonotic transmission of this species to humans in this region. Sequencing of the whole mitochondrial genome of three of these cases showed thatP. simiumis most closely related toP. vivaxparasites from South American.FindingsThe explored malaria outbreaks were caused byP. simium, previously considered a monkey-specific malaria parasite, related to but distinct fromP. vivax, and which has never conclusively been shown to infect humans before.InterpretationThis unequivocal demonstration of zoonotic transmission, 50 years after the only previous report ofP. simiumin man, leads to the possibility that this parasite has always infected humans in this region, but that it has been consistently misdiagnosed asP. vivaxdue to a lack of molecular typing techniques. Thorough screening of the local non-human primate and anophelines is required to evaluate the extent of this newly recognized zoonotic threat to public health and malaria eradication in Brazil.FundingFundação Carlos Chagas Filho de Amparo à Pesquisa do Estado de Rio de Janeiro (Faperj), The Brazilian National Council for Scientific and Technological Development (CNPq), JSPS Grant-in-Aid for scientific research, Secretary for Health Surveillance (SVS) of the Ministry of Health, Global Fund, and PRONEX Program of the CNPq.

The Atlantic Forest is recognized as a global hotspot for having one of the highest rates of endemism and biodiversity. Its portion in the state of Rio de Janeiro is extremely fragmented and reduced. The present study seeks to get information on the non-volant mammals of RPPN Rio das Pedras in municipality of Mangaratiba, state of Rio de Janeiro. The rapid mammal's survey was accomplished by the use of pitfalls, live traps, transects and camera traps. We recorded 23 non-volant species that represent 13.1 % of Rio de Janeiro’s terrestrial mammal species. Among the recorded species, five are endemic of the Atlantic Forest and three are in the state list of threatened or presumably threatened species. The area presents great mammal richness, but the hunting activity and the presence of exotic species may represent a threat to the local biodiversity and should be controlled.

Mesmo após a devastação de grande parte das suas matas, o Estado do Rio de Janeiro ainda abriga uma grande riqueza de mamíferos terrestres. Contudo, informações sobre abundância e distribuição da mastofauna do Estado ainda são escassas. Este estudo tem como objetivo inventariar os mamíferos do Parque Estadual do Desengano, localizado na região norte do Estado do Rio de Janeiro, uma das regiões menos amostradas e mais alteradas do Estado. O inventário foi realizado utilizando armadilhas do tipo Sherman e Tomahawk, e armadilhas de queda para os pequenos mamíferos não-voadores, redes de neblina para os morcegos, armadilhas fotográficas, avistamentos e relatos de moradores e funcionários do Parque para os mamíferos de maior porte. Nós registramos 56 espécies de mamíferos, das quais 15 constam na lista da fauna ameaçada de extinção do Estado do Rio de Janeiro e 10 na lista da fauna brasileira ameaçada de extinção, incluindo Brachyteles arachnoides. As espécies mais abundantes foram o morcego Sturnira lilium e o roedor Akodon serrensis. Além disso, Thaptomys nigrita, roedor normalmente pouco capturado no Estado, foi relativamente abundante no Parque Estadual do Desengano. Nossos resultados indicam que o Parque abriga 33,7% das espécies de mamíferos com ocorrência conhecida para o Estado, destacando a importância da área para a conservação da fauna do Rio de Janeiro. Even after the devastation of large part of its forests, Rio de Janeiro State still harbors a rich terrestrial mammal fauna. However, information on the distribution and abundance of mammal species in the State is still scarce. This study aims to survey the mammals of the Desengano State Park, located on the northern part of Rio de Janeiro, one of the least studied and most altered regions of the State. The inventory was conducted using Sherman, Tomahawk, and pitfall traps for non-volant small mammals, mist nets for bats, camera traps, sightings and reports of residents and officials of the Park for large mammals. We recorded 56 species of mammals, of which 15 are on the list of threatened fauna of Rio de Janeiro State and 10 on the list of Brazilian threatened fauna, including Brachyteles arachnoides. The most abundant species were the bat Sturnira lilium and the rodent Akodon serrensis. Moreover, Thaptomys nigrita, a rodent not commonly captured in the State, was relatively abundant in the Desengano State Park. Results indicate that the park harbors 33.7% of the species of mammals known to occur in the State, highlighting the importance of the area for the conservation of Rio de Janeiro fauna.

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The spiny rats of the genus Trinomys Thomas, 1921 have a broad distribution in the Atlantic Forests of southeastern Brazil. However, some species are known only from their type locality and adjacent areas. In our study, nine areas in the state of Rio de Janeiro were surveyed and three species of the genus were captured - Trinomys dimidiatus (Günther, 1877), T. setosus (Desmarest, 1817) and T. gratiosus bonafidei (MOOJEN, 1948). We extended the distribution of T. gratiosus bonafidei in 100 km, in a straight line to the northwest, and into an area of Semidecidual Seasonal Forest. We captured T. setosus, which had not been previously recorded in the state, in the municipality of Cambuci, extending its distribution 150 km, in a straight line to the east of its closest record, in Juiz de Fora, state of Minas Gerais. The state of Rio de Janeiro has now six recognized species of Trinomys, however none of them were collected above 1300 m of altitude. We used occurrence points provided by our inventories data and from the literature to model the potential distribution of Trinomys species. We used climatic, topographic and phytogeographic variables to prepare the potential distribution maps. The algorithm used for modeling was provided by the software Maxent, version 3.2.1. Although species boundaries within Trinomys in Rio de Janeiro State are not yet clear, their distributions seem to be parapatric, except for T. iheringi and T. dimidiatus.

The Atlantic Forest in the state of Rio de Janeiro is extremely fragmented and reduced in its original extension. Although there are a great number of studies related to the biome, few lists are available for this region. The present study seeks to get information on the mammals of a remnant forest in Serra da Concórdia, an area from which no information is currently available. The rapid mammal's survey was accomplished by use of pitfalls, live traps, transects, mist nets, and camera traps. We recorded 37 terrestrial species that represent 22.3 % of Rio de Janeiro state mammal species. Among the recorded species, six are endemic of the Atlantic Forest, one is endemic of the state, and eight are in the state list of threatened or presumably threatened species. The area presents great mammal richness and an increasing effort will probably reveal the presence of additional species.

The Atlantic Forest is considered a hotspot due to its current state of vast degradation and high indexes of biodiversity. This biome has been degraded through the years by processes resulting from the Brazilian socioeconomic model of development. The seasonal semi-deciduous Atlantic Forest is a poorly studied phytophysiognomy specially degraded by human activities in the state of Rio de Janeiro. In the present study we report the results of a rapid mammalian inventory conducted in the municipality of Cambuci, in a fragment of seasonal semi-deciduous forest. We used live traps and pitfall traps to capture non-volant small mammals, and mist-nets of different lengths to collect bats. To sample medium and large-sized mammals we used camera traps. We recorded 27 mammal species in the region, of which 16 are volant mammals. We emphasize the distribution extension of Trinomys setosus in 150 km (that enabled its insertion in the species list of Rio de Janeiro) and the capture of Lonchophylla peracchii, a recently described species apparently restricted to Atlantic Forest. Both facts show the importance of the fragment for the region biodiversity.